Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRY GEORGE IDICULA, M.ED., BCBA
ActiveJERRY GEORGE IDICULA, M.ED., BCBA is a Behavior Analyst healthcare provider located in GROSSE POINTE PARK, Michigan. NPI 1356711766 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · GROSSE POINTE PARK, MI
Registration Details
- NPI Number
- 1356711766
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 28, 2015 (10.838252686412 yrs)
- Last Updated
- Mar 27, 2019
- License
-
1-19-34854 (MI)
Practice Information
- Address
-
1332 MARYLAND STGROSSE POINTE PARK, MI, 48230Browse MI providers · Browse ZIP 48230
- Phone
- 3132889458
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in GROSSE POINTE PARK, MI
| Name | Credential | NPI |
|---|---|---|
| RACHEL ENRIGHT | — | 1598150583 |
| CARLY STEINER | M.ED, BCBA | 1598123556 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.